Mrs. Mary E Provencher, LICSW
Social Worker, Clinical in Westwood, Massachusetts
1669544235- Practice location
- 789 Capboardtree St, Harbor Counseling Center, Westwood, MA 02090
- Phone
- 781-234-1318
- Fax
- —
- Last updated
- July 8, 2007
Mary Ellen Provencher is a Social Worker, Clinical based in Westwood, MA. Mary Ellen Provencher practices in Westwood, MA and has the professional credentials of LICSW. The NPI Number for Mary Ellen Provencher is 1669544235 and holds a License No. 100755 (MA). The current practice location address for Mary Ellen Provencher is 789 Capboardtree St, Harbor Counseling Center, Westwood, MA 02090 and can be reached out via phone at 781-234-1318.
Provider Profile Details
- NPI Number
- 1669544235
- Provider Name
- Mary Ellen Provencher
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 789 Capboardtree St, Harbor Counseling Center, Westwood, MA 02090
- Phone Number
- 781-234-1318
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 15, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 789 Capboardtree St
Harbor Counseling Center
Westwood, MA 02090 - City
- Westwood
- State
- Massachusetts
- Zip
- 02090
- Phone Number
- 781-234-1318
Provider Business Mailing Address Details
- Address
- 16 Clear Pond Drive
Walpole, MA 02081-4310 - City
- Walpole
- State
- MA
- Zip
- 02081-4310
- Phone Number
- 508-660-1971
License Information
- License Number
- 100755
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Westwood, MA
View all Social Worker, Clinical providers in Westwood →- Alison W Magee, LICSW, MSWSocial Worker, Clinical · NPI 1104188432
- Alyssa Johnson, LICSWSocial Worker, Clinical · NPI 1093125908
- Carissa Dawson, LCSWSocial Worker, Clinical · NPI 1932667615
- Danielle Sutton, LICSWSocial Worker, Clinical · NPI 1316427875
- Denise M MaherSocial Worker, Clinical · NPI 1356824700
- Don Camelio, LICSWSocial Worker, Clinical · NPI 1447738224
Frequently Asked Questions
What is the NPI number of Mrs. Mary E Provencher, LICSW?
The NPI number of Mrs. Mary E Provencher, LICSW is 1669544235. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary E Provencher, LICSW?
Mrs. Mary E Provencher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 100755.
Where does Mrs. Mary E Provencher, LICSW practice?
The practice location is 789 Capboardtree St, Harbor Counseling Center, Westwood, MA 02090. The office can be reached at 781-234-1318 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669544235 directly on the NPPES registry website.